# JOSHUA MILES CLARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1245641794
- **Gender:** Man
- **Credential:** RMT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | MT .0008738 | CO | Yes |

## Other

- **Enumeration date:** 05/17/2014
- **Last updated:** 05/17/2014